Date Initiated by Firm |
September 08, 2014 |
Date Posted |
October 01, 2014 |
Recall Status1 |
Terminated 3 on January 09, 2017 |
Recall Number |
Z-0001-2015 |
Recall Event ID |
69192 |
510(K)Number |
K131382
|
Product Classification |
Monitor,physiological,patient(without arrhythmia detection or alarms) - Product Code MWI
|
Product |
Philips Expression MR200 MRI Patient Monitoring System Model 866120 |
Code Information |
Model 866120 with the following lots #'s: US33600006, US33600007, US33600011, US33600012 and US33600013 |
Recalling Firm/ Manufacturer |
Invivo Corporation 12151 Research Pkwy Suite 200 Orlando FL 32826-3222
|
For Additional Information Contact |
Debra Levasseur 407-275-3220 Ext. 171
|
Manufacturer Reason for Recall |
During production, excess metal (aluminum) debris was found stuck to the cling plastic that covers the device's pole assembly. The metallic debris could affect system performance due to the potential for a failure to power up or loss of power. This could result in the loss of monitoring and a delay in diagnosis of the patient.
|
FDA Determined Cause 2 |
Material/Component Contamination |
Action |
The firm, Philips Healthcare, sent an "URGENT- Medical Device Recall" letter dated June 17, 2014, to its customers informing them of the product, problem and actions taken. The firm informed the customers that there are no additional actions required on their part. The Philips/Invivo Account Manager will contact them in order to arrange for replacement of the device.
If you need any further information or support concerning this issue, contact your local Philips/Invivo representative: 877-468-4861 option 1, then option 2. |
Quantity in Commerce |
10 units |
Distribution |
Worldwide Distribution: US distribution in state of: CA and countries of: Poland, Singapore, and Sweden. |
Total Product Life Cycle |
TPLC Device Report
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1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
|
510(K) Database |
510(K)s with Product Code = MWI and Original Applicant = INVIVO CORPORATION
|